RN Care Transitions Specialist

UnitedHealth Group

Tucson (AZ)

On-site

Confidential

Full time

11 days ago

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Benefits offered by this job

Benefits package

Equity stock purchase

401k contribution

Job summary

Casa de la Luz Hospice, part of LHC Group and UnitedHealth Group family, seeks an RN Care Transitions Coordinator to drive patient transitions from hospital to post-acute care and educate the medical community about services. The role collaborates with discharge planners to ensure seamless orders and care plans, while meeting growth and market share targets.

The position emphasizes credentialed nursing licensure, field outreach, and coordination of transfer orders, with a strong focus on

Qualifications

Current and unrestricted RN/LPN/SW/PT licensure in state of practice.
Valid driver's license, vehicle insurance, and reliable transportation.
1+ years of home health or hospital case management experience.
Strong presentation, negotiation and relationship-building skills.
Solid computer skills including Microsoft Outlook.

Responsibilities

Achieve monthly Personal Production Goals and MC admit budgets for assigned locations while being a good steward of the company's financial resources by projecting a return on monies spent and managing to a Sales and Marketing expense budget
Successfully executes a weekly, monthly, and quarterly strategy to increase market share within facility assigned
Following Right of Choice, evaluates patient and orders for suitability for home care
Initiates face-to-face patient transition to educate the patient on LHC agency and identifies primary care physician to follow the plan of care
Presents agency Executive Director with identification of patient needs to obtain branch approval and acceptance and completes CTC encounter documentation in Home Care Home Base
On acceptance, coordinates organization of transfer orders, coordinates other ancillary services for the patient (DME | Infusion) as needed, educates patient on home care/ Hospice orders received from the referral source and home care and/ or hospice services
Acceptance to ensure all patient needs identified by the referral source are documented and met by the agency
Works closely with the Executive Director/Clinical Director to drive a vision of growth by focusing every team member on the needs and expectations of the referral community and patients
Responsible for all sales administration duties including, but not limited to, BOA expense entry compliance, BOA with associated Policies and Procedures, payroll time sheets, Weekly 3LS meetings with strategic updates, PTO requests, Attends all required sales calls and company provided in services, timely cell phone and e-mail correspondence
Educates patient on importance of the post facility discharge follow up appointment with the physician, on obtaining all necessary prescriptions prior to discharge from the hospital and confirm patient's understanding of medication, pharmacy, and delivery method
Serves as a liaison between the LHC Group agency and all involved healthcare providers of newly referred patients as well as existing patients transferred to the hospital from the home health agency
Communicates to discharge planning any active patients that transfer from home health into a Facility and coordinates resumption of care with patient prior to discharge if applicable orders are obtained
Provides follow up feedback to case management team regarding status of readmissions and any non-admit decisions based on information provided to them by the LHC agency
Observes patient confidentiality at all times
Knows the features and benefits of the services provided by LHC Group. Is able to articulate competitive advantages, specialty programs, and Medicare guidelines. Educates the medical community about the services of our organization through effective sales calls and in-services with the appropriate tools and literature